How much rates vary
Facilitymedian $316 · 10th to 90th $316 to $794Professionalmedian $282 · 10th to 90th $229 to $617
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $281.84 | Professional | None | $275.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $56.23 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $41.69 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $28.18 |
CareSource Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
CareSource Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $676.08 | Professional | None | $398.11 | $398.11 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $794.33 | Facility | None | $316.23 | $316.23 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $2,754.23 | Professional | None | $229.09 | $229.09 | $2,754.23 |
United Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
United Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $616.60 | Professional | None | $257.04 | $316.23 | $616.60 |
Where West Virginia sits
The same service costs 2.6 times more in Montana than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
West Virginia· 39th of 51
$282
MT $589DE $229
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.